Andrea Alvalle Dentist LLC
Organization Active NPI General Practice Dentistry · Ponce, PR
NPI 1255165221 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1255165221
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ANDREA ALVALLE DENTIST LLC
- Practice address
- 1238 Ave Munoz Rivera
Ponce, PR 00717-0639 - Phone
- (787) 840-2153
- NPI assigned
- Aug 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Andrea Nicole Alvalle Santiago
- Title
- DMD-Owner
- Phone
- (787) 384-4954
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240921000628 | PR | Part B Supplier - Clinic/Group Practice | 2163963869 |
Receives reassigned benefits from 1 practitioner Practice locations: Ponce, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1238 Ave Munoz Rivera
Ponce, PR 00717-0639
Mailing address
1238 Ave Munoz Rivera
Ponce, PR 00717-0639
Phone (787) 840-2153
Other providers in Ponce, PR
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- Eduardo L Amy Torres
- Enrique Amy
- Aracelis Anavitarte
- Michelle Andujar Laboy
- Carmen Graciela Andujar Rosario
- Edna Cristina Andujar
- Anesthesia Associates
- Anesthesia Medical Group Pscorp
All providers in Ponce, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.